BROOKE B RIDDLEBERGER


Address: 4600 Hale Pkwy, Suite 330, Denver, CO 80220-4020
Phone: 3033208618

BROOKE B RIDDLEBERGER (NPI# 1962710525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962710525
Entity Type Individual
Full Name BROOKE B RIDDLEBERGER
Credential PA-C
Practice Address 4600 Hale Pkwy
Suite 330
Denver
CO 80220-4020
Mailing Address 7966 W Kentucky Ave
Lakewood
CO 80226-4304
Practice Telephone 3033208618
Mailing Telephone 3033208618
Enumeration Date 2010-09-16
Last Update Date 2017-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4600 HALE PKWY
SUITE 330
City DENVER
State CO
Zip Code 80220-4020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285635193 Susan Wonsiewicz Trout Obstetrics & Gynecology 4600 Hale Pkwy, Suite 350, Denver, CO 80220-4020 2005-08-02
1851848139 Surgone, PC Colon & Rectal Surgery 4600 Hale Pkwy, Suite 430, Denver, CO 80220-4020 2016-09-05
1578947792 Rankin Clinical Audiology Audiologist 4600 Hale Pkwy, #450, Denver, CO 80220-4020 2015-07-17
1033517560 Katherine Goodin Mccarty Physician Assistant 4600 Hale Pkwy, Suite 330, Denver, CO 80220-4020 2014-12-16
1154601979 Polly Warner Nurse Practitioner 4600 Hale Pkwy, Denver, CO 80220-4020 2011-08-24
1386949154 Nicole C Kenyon Physician Assistant 4600 Hale Pkwy, Suite 100, Denver, CO 80220-4020 2011-01-25
1457653446 Dfwc PC Podiatrist 4600 Hale Pkwy, Suite 440, Denver, CO 80220-4020 2010-11-23
1053621276 Kirstie Jenene Taylor Audiologist-Hearing Aid Fitter 4600 Hale Pkwy, Ste. 450, Denver, CO 80220-4020 2010-10-21
1457660763 Elaine M D'angela Nurse Practitioner 4600 Hale Pkwy, Suite 340, Denver, CO 80220-4020 2010-10-04
1982920161 Lauren May Obstetrics & Gynecology 4600 Hale Pkwy, Ste 400, Denver, CO 80220-4000 2010-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053876748 Woody Dental Pllc Dentist 5989 E Colfax Avenue, Denver, CO 80220 2019-02-06
1366961930 Maita Angelica Thams Case Manager/Care Coordinator 4455 E. 12th Ave, Denver, CO 80220 2017-09-14
1962943837 Rocky Mountain Therapy Ltd Clinic/Center 883 Jersey St, Denver, CO 80220 2017-03-13
1578019188 Alfredo Guzman Pharmacist 1055 Cleremont, Denver, CO 80220 2016-09-01
1265802144 Joseph Parker Morse Case Manager/Care Coordinator 4455 East 12th Avenue, Denver, CO 80220 2015-10-05
1104296789 Eric Poissant Physical Therapist 4700 East Hale Parkway, #550, Denver, CO 80220 2015-09-25
1104292085 Casey Lucarelli Student in an Organized Health Care Education/Training Program 4455 E. 12th Av., Mhcd, Denver, CO 80220 2015-08-14
1124414081 Domenic Michael Terenzi Hospitalist 8001 E 11th Ave Unit 5210, Denver, CO 80220 2015-04-07
1730598566 Jessica Nichole Heck Pharmacist 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 2014-08-06
1063840171 Kellie Ann Douglas Nurse Practitioner 4545 E 9th Ave Ste 260, Denver, CO 80220 2013-10-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629677240 Monique Minter Physician Assistant 5504 Malta St, Denver, CO 80249-8649 2020-10-23
1861901878 Stephanie J Dyck IIi Physician Assistant 3800 North York St, Denver, CO 80205-3540 2017-09-21
1588115059 Joshua Dollins Pasley Physician Assistant 955 Lawrence St, Plaza Building, Suite 150, Denver, CO 80217 2016-10-20
1730558172 Hannah Mcnally Physician Assistant 1719 E 19th Ave # 300, Denver, CO 80218-1235 2015-09-16
1558778712 Kerri Mckee Physician Assistant 4500 W. 38th Ave, Suite 220, Denver, CO 80212 2014-07-18
1811331812 Josephine Frances Dennison Physician Assistant 3333 Regis Blvd F-12, Denver, CO 80221-1099 2013-04-20
1184967234 Ryan Christopher Merson Physician Assistant 1960 North Ogden Street, Suite 110, Denver, CO 80218-3667 2013-03-27
1255675187 Staci Lynn Palmore Physician Assistant 2000 S. Colorado Blvd, Tower 1 Suite 4500, Denver, CO 80222 2012-11-15
1518211051 Jordan Michael Mast Physician Assistant 950 East Harvard Ave Ste 570, Denver, CO 80210-7003 2012-11-06
1578852463 Susan Franta Physician Assistant 810 Krameria St, Denver, CO 80220-4615 2011-03-31
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Competitor

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City DENVER
Zip Code 80220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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